Individual
KALISHIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 MINNESOTA AVE NE, WASHINGTON, DC 20019-3520
(202) 909-0337
Mailing address
2490 LAKE DRIVE APT 617, WALDORF, MD 20601
(202) 929-8708
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/27/2019
Last updated
11/09/2023
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